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Wesley Matthew Gillette, MD
Retina Specialist (Ophthalmology) Physician in Germantown, Tennessee
NPI 1811552045

Wesley Matthew Gillette is a Retina Specialist (Ophthalmology) Physician based in Germantown, TN and is specialized in Retina Specialist. Wesley Matthew Gillette practices in Germantown, TN and has the professional credentials of MD. The NPI Number for Wesley Matthew Gillette is 1811552045 and holds a License No. (Tennessee).

The current practice location address for Wesley Matthew Gillette is 1432 Kimbrough Rd, Germantown, TN and can be reached out via phone at 901-767-4499.

Location: 1432 Kimbrough Rd, Germantown, TN, 38138-2405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811552045
Provider Name
Wesley Matthew Gillette
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1432 Kimbrough Rd, Germantown, TN, 38138-2405
Phone Number
901-767-4499
Fax Number
Provider Enumeration Date
05/02/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
67920 01 TN STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1432 Kimbrough Rd
City
Germantown
State
Tennessee
Zip
38138-2405
Phone Number
901-767-4499
Fax Number
person
Provider Business Mailing Address Details
Address
1432 Kimbrough Rd
City
Germantown
State
Tennessee
Zip
38138-2405
Phone Number
901-767-4499
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
Retina Specialist
Taxonomy
207WX0107X
License No.
67920 (Tennessee)
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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